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Reuters Health Information (2013-01-15): Drug industry bets on new blockbusters in 2013


Drug industry bets on new blockbusters in 2013

Last Updated: 2013-01-15 11:15:12 -0400 (Reuters Health)

LONDON/NEW YORK (Reuters) - Drugmakers are betting that a new wave of medicines for cancer, diabetes, heart disease, multiple sclerosis and hepatitis will shape up as tomorrow's blockbusters in the coming 12 months.

With the industry regaining some of its swagger after winning 39 new drug approvals last year - a record only beaten in 1996 - there are signs the improving trend could continue through 2013.

Roche, GlaxoSmithKline, Eli Lilly, Biogen Idec, Gilead Sciences and Novo Nordisk are among those with important new products reaching a critical point in development this year.

One of the most highly anticipated approvals of the year, likely to come in the first quarter, is for Biogen's multiple sclerosis (MS) drug BG-12.

It will be the third oral MS drug to market after Gilenya (fingolimod) from Novartis and Sanofi's Aubagio (teriflunomide), but many people already see BG-12 as best in class.

"It's going to be priced very high, it will have a rapid market uptake and it's going to have a timely approval because the FDA (Food and Drug Administration) can't afford to keep a drug like this off the market," said Raghuram Selvaraju, head of healthcare equity research with Aegis Capital.

Doctors treating patients with diabetes are also likely to have new drugs before the year is out, with a new class of medicines that work via the kidneys seen entering the fray.

The SGLT2 inhibitors for type 2 diabetes had a setback when dapagliflozin from AstraZeneca and Bristol-Meyers Squibb was rejected by the FDA over safety concerns.

But Johnson & Johnson is likely to get an FDA green light for its canagliflozin after an expert advisory panel last week recommended its approval.

Novo Nordisk, meanwhile, is banking on a new ultra long-lasting insulin, Tresiba, to keep it out in front as leader in diabetes care. It also has a major chance in the obesity market, if it can prove its existing medicine liraglutide is safe and effective in weight loss.

The picture should become clear this year for regimens to treat hepatitis C without the need for injections, as closely watched Phase III data from Gilead and Abbvie reveals long-term cure rates for the liver disease.

An all-oral therapy with a high cure rate and low relapse rates would be sure to be a winner. Gilead's sofosbuvir, acquired with the $11 billion purchase of Pharmasset, is seen as the clear leader in a crowded race but Abbvie has also had impressive early data for its products.

Cancer - the disease with the highest R&D investment - offers openings for a number of companies, with particular excitement centered on Lilly's ramucirumab, which could be filed to treat gastric cancer this year and has a far bigger commercial potential in breast cancer.

Lilly is a prime example of a pharmaceutical company that has the wind back in its R&D sails. While still facing the daunting December patent expiration of its nearly $5 billion a year antidepressant Cymbalta (duloxetine), Lilly now has 13 drugs in Phase III development - the most at any one time in its history.

Roche's aim to consolidate its position as the leading player in cancer looks within reach in 2013 with approval expected for new breast cancer treatment T-DM1.

The Swiss group may also start to show its promise in neuroscience, with pivotal trial data due in 2013 for bitopertin, a new kind of schizophrenia drug that analysts estimate could generate sales of more than $3 billion a year.

GlaxoSmithKline perhaps has the most riding on 2013, with six new drugs submitted for approval in lung disease, diabetes, cancer and HIV, as well as Phase III clinical results due on two high-risk, high-reward projects in heart disease and cancer.

Darapladib, designed to fight clogged arteries in a different way to statins, could, in theory, become a $10 billion-a-year seller, while MAGE-A3 may prove equally revolutionary for lung cancer and melanoma. But in both cases GSK is pushing the scientific boundaries and the chances of success are considered below average.

Drug development still remains a risky business.

Last year's tally of drug approvals was lifted in part by a large number of niche drugs for rare diseases. Success in drugs for common diseases was more elusive, as highlighted by the failure of clinical trials for two experimental Alzheimer's drugs.

"The industry has done a lot to try and improve productivity and has corrected a lot of past mistakes," said Deutsche Bank analyst Richard Parkes, who highlights fewer failures in final Phase III testing as a key measure of success.

"It's too early to say whether this is going to be a sustained break-out from the trend but the efforts that have been put in place should at least improve the efficiency of what is being spent."

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